| NPI | 1871955781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA M BENTLEY Licensed Professional Counselor 770-856-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC008862) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |